General FPPA Forms

Affidavit of Common Law Marriage

Change of Address Form

Email Address Form

FPPA Records Release Form

For Members During Their Career

Apply for a Disability Benefit

Step by Step Through the D&D Process


For Member Survivors

Apply for a Survivor Benefit

Statewide Death & Disability Plan Brochure


For Members Currently Receiving Benefits

Change in Disability Status Application

Currently receiving Disability Benefits and are now divorcing

Disability Retiree Change of Designated Beneficiary


FPPA Forms for the Management of Deposits

Electronic Funds Transfer (EFT) Form

Deposit Advice Selection Form - Control the frequency of your Deposit Advices with this form. Learn more about Deposit Advices options

Affidavit For Check Replacement

W-4P Monthly Pension Distribution Form

Colorado State Tax Withholding Form

W-9 Request for Taxpayer Identification Number and Certification